683 Brentwood LaneBLDG. PERMIT NO. I ? 0.CD S
(
- -7 C) IDeA.? J, ?,,v .fnnD-7?
01-3210 Bidg. Permit
? 01'-3422 Plan Check
0't-3445 Surch./Adm.
? 01-3446 SAC/Adm.
? 01-2155 Surcharge
? 753860 Road Unit
20-2275 SAC
? 20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
? 20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
5 I o 0
5? oc
O O
00
/ O o c?
/ ? Oa
/00 O0
TOTAL
Thic re4uest void ?/'^? ?I}}
I H ?1Of1?M15 (?OT D O C s.?7 /.? 1 ? p
E 2 6 8 9 2.?. 7-? ,?
Hequest Dete .i Fire No. Rouph-in Ins'OecUon
4
?Y?? Re ired? I .dv Nuw Will Nobfy Inspec-
U
b
Wh
- 6 D Yes ?NO r
en Reotly
?Licensed Electncal ConLacror ?
I hereby request inapecbon of ebove
Owner electncal work inslelletl aT
Sveet Adtlress, z or Boute No.
Cog2 Crtv
eclion o. Township Name or No. Range o. Co ly
!y
Occupant (PRINT)
? Phone No.
M,Tol?j
Q
Por $vpplier
`?
{ Addr s ?
ti'
m
?
ca
A
r? ?. v
I
Electrical Convaclor JCo y Namel Contractor's License No.
S Ln ? ?e y ? ?s- 3
MailinB Address IConVactor or Ownar MaWne Inst 'lationl
W n
7?7s ?
a
N-? r3- ?d
.
,t.
.
o- t
Autn rsed Sie?atur ?COntrector/Owne aking Installationl ?Ylmnd Number
6?nJcp
MINNESOTA STATE BOAND Of ELECTNICITY THIS INSPEGTION NEQUEST WILL NOT
Grigge•Midwev Blde. - Nuom N-791 BE ACCEVTED BY THE STATE BOAND
UNLESS PROPEH INSPECTION FEE IS
1821 Univarsitv Ave.. St. Peul. MN 55704
pi,,,,,e ????? Ga,_npnn ENCLOSED.
rJ/.?i'IYF REQUEST FOR ELECTRICAL INSPECTION AVh Es-ooooi-os
1 See inalruc4ans lor complabng this brm on back ot vel low cop ?3
y.
E2 6'8y? J2 '"X' Below Wwk Covered by 7his Request
Nanuif Addl ,eo. Tvoe ot sundins ApPlioncea Wned Eu.iumant wvea
Home Range Temporary Serv;ce
Duplex Water Heater Lighhng Fixtures
Apt. BwlAing Dryer Electnc Heatrn
Commercial Bldg. Fumace Silo Unloader
Industnal 81Ag. Air Conditioner 8u1 k Milk Tank
Farm OfhNr uec v Otherl5ocr.ifyl
? er Succ,fy thor Qther
Comnute lnspectron Fee Below _
p Fee SarviceEntrenceSize R Fea feeders/SUEteeders N Fee C?rcurts
,(;a U to 200 qm s 0[0 30 Am s ?Z 0 to 30 Am s
Above 200 qmps 31 to 100 Ainps 31 to 100 Am s
Swimm?mg Pool Above 100-Amps Above 100_Am)s
Transformers Imlgation Boorris ?S6 Pnr[ial-' Fee
Signs Special Inspectmn F?
TO
Hemarks /f'?) /7 P '7b ....? ?.lG?. /
RouBh'in ( + te
, the Electrical
7IrY Inspactor, hereby
rt,ty thet the above
Final `i, lie;/ ingpectim has been
mede.
tnia roni.. w.iA IN mnnlM Irnm
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT # 140g? 5
RECEIPT # /00 992
DATE: S ? 9
PLEASB COMPLETE UPPER PORTION ONLY FOR SINGLE FAMZLY DWELLINGS &
TOWNNOMES/CONDOS WHEN PERMITS ARE REQIIZRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS: lo ?„? lJ??,-d 7 1n.rlr9? ?a'
IAT:17 SLOCK oZ SUBD. tl
INSTALLER: rn1 !
ADDRESS: I r)I G'e'.?
CITY: :ia. ZIP: ?SO7f
---------- ----- ---------°-----
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
ADD-QN MINIMUM 15.00
SHOWER 3.00
WATER CLASET 3.00
BATH TUB 3.00
LAVATORY 3.00
_ KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
WATER HEATER 3.00
_ FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIM[3M - 1) 3.00
_ ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SIIBTOTAL . $
ST. SURCHARGE .50
TOTAL: S ?• S?
PLEASE COMPLETE THIS PORTION FOR ALL COMMERGIAL/INDUSTRIAL BUILDINGS AND
...................?.: .....
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
? DWELLING UNIT.
CONTRACT PRICE:
OWPIER NAME: _
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF i,ONiecACT rEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATORE)
CITY OF EAGAN
CITYOFEAGAN N° 15068
., 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
BUILDING PERMIT PHONE:454-8100 Receipt#
7o be usedfor SF DWG/GAR Est. Value $155,000 Date MAY 24 ,19 8$
Site Address 683 BRENTY;OOD LN
Lot 7 Block Z Sec/Sub. WINDTREE 7TH
Parcel No.
w Name MDNTGOMERY DESIGN I
z Address 4151 KNOB DR
0
City EAGAN Phone 681-9260
? Name_
.o
0a Address
? City_
Name_
Address
C ity _
I hereby acknowledge ihat I have read this applicalion and slate that Ihe
information is correct antl agree to comply with all applicahle State of
Minnesota Statutes and City of Eagan Ordinances.
siqnature of Permittee F+I.?4i?i(p,
A Budding Permrt is issued to: MONTGOMERY DESIGN
on the express contlition that all work shal I be done i n accordance with ell
applicable State of Minnesota Statutes and City of Eagan Ordinances
Building Ofticial
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3 M-1
MWCCSystem X Zoning R-1
On Site Well _ (ACtual) Conat V-N
Ciry Water X_ (Allowable) V-N
PRV Repuired _ # of StOries
BoasterPump _ Length 64'
Depth 48'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 7$2.00
Planner Surchafge 77.50
Counal Plan Review 376.00
Bld9 Off SAQ City 100.00
ValianCe SAC,MWCC 550.0?
Water Conn. 550.00
WflterMeter 67_00
Road Um[ 795. M
TreatmentP7 204.00
Parks
TOTAL 3,001.50
, • ?i r . \N
-?e N 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
?3a g Q
3INGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WEiICH ADDRESS
IS DESIRED. NO CfiANGES WILL HE ALLOWED ONCE BUILDZNG PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL IINIT3 FOR SALE UNITS O OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COI•41ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: ss t90 a Date: ??? /( (1 0
Site Address
Lot 4- Block ?
' On site sewage Occupancy ?= 3 M-1
.,
1
? MWCC system _ Zoning
Parcel/Sub
W, ??'Y'PP?P 7 On site well Actual Const V-Al
re•"d
y? City water Allowable t/-ry
? ??t0Y1`f6
Owner ?-k q l)Q,?I PRV required # of stories
I
v?
i2
k Booster Pump _ Length
YS'
Address 1/
?+-b h Depth
S.F. Total
City/Zip Code ,! (?Gl`?..lJ Footprint S.F.
Phone 6L--/ Z G, a APPROVALS FEES
Contraetor lga4rlp-?
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Engr/Assess Permit %rZ
Planner Sureharge ', Sd
Couneil
Bldg. Off. Plan Review
??Z3 SAC, City 3 74.
/po
narianee SAC, MWCC S?q
Water Conn
Water Meter 69
Road Unit 2? S-
Treatment Pl 70!2
Parks
Copies
TOTAL
a
-zv?- ya ? go?
iy,z .Y G : $Sz
??- Jz ? yG
. . _ ?,
a t a
- 981, 2 X 13 Isf (loor
3 9. ?Sk 30 ? Il 9 Z, S'
E ? 1353,&/?- ?6?33Co,
G?,-as
Z= Y-
????
2r?c? Flaor
(2 l.o
,3 sc k 4'9 = b(o j
X
3?/?, a?
75 2- uu+
'J'J' JU"r
,57 o•u0 {
1 7J6•Clu+
pii i •:>ut=
, "? . .
SURVEYOR°S CIERTIFICATE MONTGOMERY DESIGN & BUILD. C0.
r?r? ? S 84059'
„? 17" E I
?'?=d o40),- - 54.20 - i
N
/ o i
3 1 f ) ?
?y96E B
? 5
? '
5 ? ?ury I \ i
P ? I !
Co JJ ..,
W
X -
o n
M i In ?'
Caasy? ?
as7.z- x Z ? ?
oae.e ? ??ys? v?
14.25 ?P 14.0 ? I
M I a? / ?
p N 23.78 ? ?SE D ?p ? ?
o
p o
m?
i A NGARAG ; oP3, 26.0- Q?I P A 0 ???
25.0 o I, p0lj?y
/ e4 xa?4:i a? ?
iDate
<.?)?i ?'?N.?;m `V I 8EAGAN ENGINEERIIVG DEPT.
3
3'
"?/ ?tp s 4a12o0311 ?/C939.3)
•?o.s R0432.51
eREr1rWooD
?- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
-?.- °
LANE
xasa.I -
SCALE: 1 INCH - 30 FEET
PROPOSED GARAGE FLOOR - 44'3. 3 FEET
PROPOSED LOWEST FLOOR - 93x`FEEf
PROPOSED TOP OF BLOCK -443:7 FEET
WE HEREBY CERTIFY TO MONTGOMERY DESIGN & BUILD C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUPlDARIES OF:
Lot 7, Block 2, WINDTREE 7TH ADDITION, cccording to fhe recorded
plot thereofl, Dnkota County, M(nnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS I ITN DAY OF AAAY ,1im.
PROPOSED GRADES SHOWN
WERE TAREN FROM THE
GRADING PLAN FOR WINDTREE
7TH ADDITION, PREPARED BY
RON gRU$GER & ASSOC.,
INC., 4ST DATED 7-27-87.
SiGNED: J ILL, INC. ?
BY. ?
HAROLD C. PEfERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
?
0rT-
m2 Nm
00' 0
2 ?
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0y
- v a ?c> \? u, 0 ? NZ
O Mp GlZ v?
W Z
y O?m
OD Om
Z 1
O m
James R. Hiii, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 812-884-3029
E.XTE.R7:OFt C:NVEI_i:iF''h_" H'JF'F:r=iFE. "l!" CCih'1Pll"t'(-7'f l:Dlu
hiC?N?G0ME1=;Y L)E.SIGh! ?< BU:CL..D C.;n
11350 At_BAV(-7Fr f-''fa"fl-I
IN4'ER L•'?RLUL: HEI{=ti"I'i7, MN `-,:ir';'T:`g
hl0r'tE:l_ V6a.f.l_ AF:Era U U X AfiEfa
R1=t?IIZI,ED
1. 'I'i:l'1"AI_. WALL AREA 3776 A:I. °;
2. FiC]OF {•tRt;A 1439 .036 3:7
6•1CI-I 1 I::'JE:I`i
A WINLrOW AREA 440 ._._ 145
H Ll7ClFi AREA 40 .13 5
C. SL.7:plluG GL.F1SS F1F:EA 102 ..._ 34
D FtF:FF'L.ACE flt•?EA 54 .3 11
E WALL. FRAI`1F AREA :577„6 .095 36
F hlf':7 WAL_I._ AREA 2762„4 „038 105
6 I;1.1°I JOSS'T AREA .:::b .0436 ? 15
Ii F!7UIUD WINDf?W AREA p .5 0
I 1='(7UNL' ABOVF..: GF'Rf?F: i?4 ? 0fsp h
_':;. Tr)'t'AL. WALI_ AREA 356
,7 ;i;};:YL..:f. TE= .5 Cy
4:: ROOF f=RAi`1f= 14;;.8 .032 5
L. IVET ROGiF AREA 1294.: ,0227 29
a. t iaTa1t_ ROt;F AREA 34
SUM oF 1. t2, 45:3
sUM Or- W , a-4. 390
„
1) PROPERTY ADDRFSS:
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
l
oF engcan
'I
I,DGAL DFSCRIPTION:
?
, . , ,
,
y NOTE: PAYMENf OF FEE AT 1'IME OF ...
.
; neriaCATIaa DOES cuar caa- ;
? STIISTIE APPR(TdAL OF PERFIIT. ?
t
INSPFICPICN OF SENffit IND/O2 WATIIt ?
:
f IDSTALI.ATIONS WII.L N(7f BE SCFDUiID
? t!NPIL PERMLT HAS HE@I APPROVID. ?
•YeieYtfiY4>44iikltffAfl*iii#!#fif'kkl4kA4
IF EXISTING STRL'C'PURE, DATE OF ORIGINAL Hi]ILDING PERMIT ISSUANCE:
Mon ear
PRESENT 7ANING/PROPOSID OSE:
Q CONFMERCIAL/RETAIL/OFFICE
Q INDOSTRIAL
Q INSTITSJTIONAL/GOVERNMENT
ZJ R-1 SINQ,E FANIILY
? R-2 DC!PLEX (3wo L?nits)
? R-3 TOWNHODSE (Three + Units) ( Lnits)
Q R-4 APARTMENT/CODIDOMID]IUM ( C?nits )
2) ?NAME' t?12w i jy (?aM&s'
ADDREss: _ N i,; 1 KM o 6 be?
?ITY, STATE, ZIP: Ch s?Ad m,--'
PHONE: ra x ? - ? ;,-3d
For City Use
3) ?:?• NAME: Um R f n/' 'G Pl erwn?6 s License:
Active
ADDRESS: ? y(3 ?, N orz-4' 14 (»k-r11O ?Expired
CITY, STATE, ZIP: 0\wbd-n ?46W<, Not recorded
PHONE: (p S?l "7 4 MASTII2 LICENSE #('}C1 ?- 7G
St- Iaf{ nitia?
4)
NAME: tr?1a?D?L,
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) s a •?' • ?? ?o
NbECTION TO CITY SE)EEt ED_QQp1PFjCTION 2+0 CITY WATER O OT[-ISE2
6)
*********,t***+?**W*****??****?F***,t??**+*****,t*??*****,r******,t**+***?,r+**:?*********?*??+*?*?*+??
* THE GOLD COPY OF '1HE PII2NIIT WIIS, BE SEPIr DIRDLTLY TO PUffi,IC WORFCS 1U FACILITATE MEPER PICK-UP.
* PLEASE ALI,OW ZWO WORKING DAYS FOR PROCFSSING. SOMEONE FROM TM CITY WILL CONPAC'P YOD IF TI-IERE
* ARE ANY PROSLENIS.
PERMIT # ISSUED
?
Pd w/Bldg. Permit
$ /G' - 5--e'
$ /n - sz=
$ ?7,00
$
S
$
$
$
$
?rSO.el v
$
$
$
$
$
$
$
FOR CITY USE ONLY
,
Y
FEES:
$
s
s
S
$
$
$
S
$
$
$
S
$
$
$
S
r `
SEWER PERMIT (INCLDDE SURCHARGE)
WATER PERMIT (INCLUDE SL'RCHARGE)
WATER METER/COPPERHORN/OC'TSIDE READER
WATER TAP (INCLLDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOL'NT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMEIVT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRLNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQOIRE EXCAVATION IN POBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSLED BY THE ENGINEERING
X07NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: J '?? ??
r
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'fi?51
2005 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
t-1D °°
New ConsW clion Reauiremen4s RemodeVReoair Reouirements OH'we Use Onlv
3 re.gistered sRe surveys shaving sq. ft of lot, sq. ft o( house; and all roofed aress 2 copies of plan CeA o( Survey Reoi _ Y _ N
(200% maximum lot coverage albwed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y _ N
2 copes of plan showing beam & window sizes; poured fouM design, etc. 1 stte survey for addNOns & decks Tree P25 Required _Y _ N
1 set of Energy Calwlations Addrtion - indkate Hon-sife sepfk system On-site Septic Sys[em _ Y _ N
3 copies of Tree Preservatlon Plan if bt platled aHer 7/7193
Rim Joist Detail Optlons selection sheet (buildingswilli 3 or less unifs)
Date -P, / 7iPJ / vS Construction Cost -*z°'-ID
Site Address _ (0 g ,5
^ UnidSte #
CfIG/4 -J
Description of Work
Multi-FamilyBldg _ Y Y`N Fireplace(s) _ 0 Vl. 1 _ 2
Proper[yOwner Telephone#( )
Fireside Hearth&Home
Contracto 14399 Huntington Avenue
Addrv Savage, MN 55378 ? City
State 952.736.7761 ? Telephone # ( )
License #20512060 ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
(J submission lype) • Residantial Ventilatlon Category t Worksheet • Naw Energy Code Worksheet
Submitted Su6mitted
• Energy Envelope Calculations Submitted
In the last 12 months, has The City of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #( J
Mechanical Contractor Telephone #( )
Sewer/Water Contractor Telephone #( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit that the work will be in accordance with the approved lan in e case of wo k which requires a review and
approval of plans.
?H ?j m`?(tij "
ApplicanYs Printed Name Appli ant's Signature
2006 RESII?ENTIAL MECHANICAL rExMi-r nrrLrcnTioN f3) o0
City Of Eagan
3830 Pilot Knoti Road, Eagan MN 55122
Telephone # 651-675-5675
, .. y:r:.¢
Plea's?e',sUmpleteyf'oc single family dwellings & townhomes/condos when permits are required for each unit
? _
Date lo / 31 / C76
Site Address 683 Brentwood lane Unit a
PropertyOwner Paul N0SV7g Telephone#(651 ) 690-2189
Contractor Boehm Heati ng Company
Street Address 1598 Sel by Avenue city St. Paul
State MN Zip 55704 Telephone# ( 651 ) 644-1410
Bond #: 55-186409 Expires: 8 /17/07
The Applicant is _ Owner x_'.. Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
XX furnace _Additional X Replacement _ New
air exchanger
XX aicconditioner,
heat pump
ather
, _ -- ;
StateSurcharge !i SC? .50
Total $.?
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand'this is not a
permit, but only an applica[ion for a permit, and work is not to star[ wi[hout a permit; that the work will be in accordance with the
approved plan in the case of work which requires a revicw and approval of plans.
Applicant's Printed Name Applicant's Signatu
?f?ll
CITY QF EAGAN Permit No: Date: 5?25/8p
3830 Pilot Knab4oad Meter No:'??d ? 7 Size:
P.O. Box 21199 Reader No: 0!7? g?T Date:
Eagan, MN 55121
Owner. :'z-`'in -ontgomery r?c
Site Address: °.' ,'ren ti•rooct an.e
Conn. Chg: U 0f) Zoning: _
Acct Dep:_ ? F no No. of Units:
Permit Fee: + ? ?(')
Surcharge: ,s(? I agree to comply wllh the City of Eagan
Tr. Plant ",-)-E ,i}g Ordinances.
l e
Meter. 47 , :49
Misc.: g
WATER SERVICE PERMIT
.1 ,, ,. . , ,, ,
,?.. .. . . . ,m-?;?s?.:'ci? :'NA??"_. ?.;.;K_ , .a:.!+i.;yK.•."?i'a'i.Wfl"+?o?Ri':sST?F?GS?C?" ,'vii...-... . aa .?= T
_J?
4
(ItrtTf tiraft of (Orr?paury
. titp of eagan
' ? ?P??tttPn# ri? ?ilt[I?itt? .?11?.pPtftWRt .
Thfs Certificate issued pur.suant Jo ihe requirements of Section 306 of the Uni}'orm Building
Code certifying that at the time of Isstiance this siructure was in campliance with the various
ordinances of the City regulating buildang construciion or use. For the followrng.•
Use ClassiTicatian ??./GWR- Bldg. IRrmit No. 15Rtp
OccupancyTYPe ZoniuBDisWIX RI TypeConst. tJN
Owner of BwldiDE5IGN Address 415__.1_MM DRyE''W
Building Address 683 MaWM LANE LoW;ty I•7+ B2s ''' ' 7TH
oete: -TAAAIARY1.Q, 1989
Buil ieg Oft'ici
POST IN A CONSPICUOUS PLACE
.._ , ??
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
, PHON E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est. Valua ??• ??•'? '- Date ,19
Site Address OFFICE USE ONLY
Lot Block 5ec/Sub. On Site Sewage OCCUpancy
MWCC System ? Zoning
Parcel No. On Site Well (Actual) Const "
c
Name City Water (Allowable)
_ •
Address PRV Required # of Stories
'
Q ' .,{??=
City Phone BoosterPump Length
Depth
0 Name - ; s 3.F.Total
.
? Q Rddfess Footprint S.F.
? City Phone APPROVALS FEES
?- Engr./Assess. Permit
W Name
F = Pianner Surcharge `
_ g Address
? Z Council Plan Review
a W Cit PhOne
y Bldg. Off. SAC, City
I fiereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
Water Meter
5ignature of Permittee Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. '
Building Official TOTAL
. Permit No. Psrmit Holder Date Telephone #
Plumbing
H.V.AC. g
Electric
Softener
Inspectfon Date Insp. Comments
Footings I ?
Footings II
Foundation
Framing
Roofing
Rough Plbg. !
Rough Ntg.
Isul.
Fireplace -zd e
Finai Htg. /
Final Plbg.
Bidg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
. . ...-.'- r .. - .?. . . . .;
- 3830 PII
?Phone
FEES
- 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $72,00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C'IF PERMIT PRICE GOES
BEYOND $1,000.00)
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES . TOTAL
1 Water Closet = $3.00 $ ?
=T:Bath Tubs - $3.00
?avatory - $3,00 `l "7
?Shower - $3.00 -77
- -- ?':{
? ' Kitchen Sink - $3.Q0 ,
UrinaVBidet - $3.00
-
?
Laundry Tray - $3.00
? Floor Drains - $1.50
?l-Water Heater - $1.50
Whirlpool - $3.40
Pi
i
=G
l
0
O ?
as
p
ng
ut
ets - $1.5
(MINIMUM - 1 PER PERMIT) I
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
? Rough Qpenings - $1.50
FEE:
5T,4TE S / C:
GRAND TOT AL: ?
. . ..?.?.... ..?._?;
?RICE? ?1 ? ?3 ??
?
3
r.' o
,.? .: ...., . .._.,.... . . . , ...
PERMIT+#
. MECHANICAL PERMIT
CITY QF EAGAN RECEIPT #
3830 PILOT KNDB ROAD, EAGAN, MM 55122 DATE:
PHUNE: 454-8100
rced Air M BTU
iler
•~° ?'?`'°?
"? M BTU
iit Heater • M BTU
Cond. M BTU
nt. CFM
is Piping Outleis # ?
her
FEE:
S/G:
TOTAL•
o
BLDG
TYPE
.
WORK DESCf}tPT10F1
?
?
Res.
New
-
Mult. , Add-on
Comm. Repair
? Other
FEES
RES
HVAC 0-100 M BTU -$24
00
.
.
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MIMIMUM
1 PER PER
1A1'1
1
5
E
A
c,Z- -
r
) -
.
.
0
COMM/lhlD FEE - 1% OF CQNTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE AFPLIES
MINIMUM RESIDENTIAL FEE
ALL ADD
ON &
-
-
REM4DELS - 12.00 -
MINIMUM COMMERCIAL FEE - 20.00
-
- STATE SURCHARGE PER PERMIT - .50
(ADD $
50 S/C IF PERMI7 PRICE GOES
?
= .
BE?1'OND $1,000)
?
t.i..^, . .._ ._ .
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
CITY OF E14GAN
?? ... .
3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 5 5121
? PHON E: 454-8100
BUILDING PERMIT Receipt #
rto be used for 6F L`_WGAI`- Est. Value $155,f-)?- ?O Date I`V3Y 24
Site Address :-'?? ?RENTWOOD }.,h OFFICE U5E ONLY
? ?r.???
VjN???
Block r? ? Sec/Sub
? _. Lot
On Site Sewage
Occupancy
?'?'"? 9-4
_
.
?
MWCG System X
Zoning X-1
:Parcel NO.
l On Site Well (Actual) Const V""N
? {t??NTG'????Y ?r'ESI?i?,`
Name CityWater ? (Allowable) ??""?
W
z ' ?
Address 4451 K?i?3?i PRV Required # of Stories
O Ci#y Phone &:wI 221b k' Booster Pump Length 641
? DePth 48°
, a Name S.F. Total
o? Address_ Footprint S.F.
P.y City Phone APPROVALS FEES
UW
? s
ame
N Engr./Assess. Pennit 752•?
W
W
z
Planner
Surcharge
77r c
.??
_ Address Council Plan Review 376e?
a W City Phone Bldg. Off. SAC, Ci#Y 1W+00 -i
I hereby acknowledge that I have read this application and siate that the Variance SAC, MWCC .550.?
information is correct and agree to comply with all applicable State of WaterConn. 550.00
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee 'r Water Meter (37.00
Road lJnit 325e?
204
00
A Building Permit is issued to: Treatment P1 "
on the express condition that all work shall be done in accordance with al I Parks
applicable State of M in nesota Statutes and City of Eagan Ordi nances. 1*00-1-50
?., Building Official
e -_
, TOTA!
. _.
_.,,.. .... .._?
CITY OF EAGAN
3830 Pilot. KnobMoad
P.O. Box 21199
Eagan, MN 55121
- ?rsain
Site
a?ll
Permit No:
Meter No:
Reader No:
oate: 5/25/93
Sixe:
Date:
Conn. Chg: 550-011 Zoning:
' Acet. Dep: I r, ,()"I No. of Units: ?
Permit Fee: 1 :? 410
Surcharge: SO I agree to comply with the Clty ofEagan
Tr. Plant ?n4 Ordinances.
Meter. 6ZE, On ?
Misc.: sy
IAfATER SERVICE PERMIT
CITY OF EAGAN
3830 Pilot KnakRoad
P.O. Bot 21199
Eagan, MN 55121
OwneF Frwdkn
Site Address: ' F, P,
Permit No: 107'' Date: 5"25'88
B/P No: S 40?c,' Date:
Plumber: ".'ua'' ? y";? •
MwCC: 55i. 00
Ciiy Chg: 100• i}4
Acct Dep: 1. 5• 0ry
Permit Fee: 1 ?''' 00 0
Surcharge:
Zoning• Rl
No. of Units: ?
I agree to comply with the City of Eagan
Ordinances.
SEWER SERVICE PERMIT
Date:
City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax (651) 675-5694
Tenant: _
Use BLUE or BLACK Ink
For Office Use u U"
Permit #: j 0(
Permit Fee`_
Date Received:
Staff:
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address:
Id- S3 4,0-tu_2(kci
Suite #:
RESIDENT / OWNER
Name: (! (,d
.Q 5 u (
Phone:/" taq o "" I8
r
Address / City / Zip:
CONTRACTOR
Name: License #:b(�C7`(� /'_ Pim
-A— p cP ?1',nneCtions Inc.
Address: 1285C Chestnut Blvd. City:
_
Shakopee, MN 55379
State: ZiP: (J52-445-48(13 Phone:
n
Conta 11� i Email:
TYPE OF WORK
New Replacement Repair _ Rebuild Modify Space Work in R.O.W.
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Heater
Water Softener
Add Plumbing Fixtures (Y_ Main / Lower Level)
-- Lawn Irrigation (__ RPZ / _ PVB)
Septic System
_ Water Turnaround
New
Abandonment
RESIDENTIAL FEES: LL
$60.00 Minimum Water Heater, ater Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 tate Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
a')
TOTAL FEES
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. wwuv.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, an work is not to start without a permit; that the work will be in
val of plans. ,
accordance with the app
ALUI
Applicant's Printed
ed plan in the case of work which requires a review and app
Applicant's Signat
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: _Under Ground ._Rough-ln _Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130986
Date Issued:05/27/2015
Permit Category:ePermit
Site Address: 683 Brentwood Lane
Lot:007 Block: 002 Addition: Windtree 7th
PID:10-84476-02-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kelly Canter
683 Brentwood Lane
Eagan MN 55123
Kuhl Design & Build
1515 South 5th St
Hopkins MN 55343
(952) 935-9469
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA143771
Date Issued:06/26/2017
Permit Category:ePermit
Site Address: 683 Brentwood Lane
Lot:007 Block: 002 Addition: Windtree 7th
PID:10-84476-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kelly Canter
683 Brentwood Lane
Eagan MN 55123
(651) 366-7774
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178636
Date Issued:08/26/2022
Permit Category:ePermit
Site Address: 683 Brentwood Lane
Lot:007 Block: 002 Addition: Windtree 7th
PID:10-84476-02-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kelly Canter
683 Brentwood Ln
Eagan MN 55123
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature